"A.P. ROMODANOV INSTITUTE OF NEUROSURGERY OF THE NATIONAL ACADEMY OF MEDICAL SCIENCES OF UKRAINE" STATE INSTITUTION
发明人:
Nechyporuk Oleh Oleksiiovych,Serkiz Oleh Viktorovych
申请号:
UAU201504141
公开号:
UA101496U
申请日:
2015.04.28
申请国别(地区):
UA
年份:
2015
代理人:
摘要:
The combined method of the surgical treatment of occlusion of the internal carotid artery (ICA) provides for surgery during the open stage in the extracranial internal carotid artery (endarterectomy, thrombectomy) and intracranial endovascular stage at the extracranial department of ICA (endovascular deobliteration, thrombectomy, balloon angioplasty, stenting). In the course of the process the open surgery ICA occlusion (endarterectomy, thrombectomy) is carried out, and the complete restoration of the blood flow in the internal carotid artery occlusion in intracranial department is performed through the use of endovascular techniques. The endovascular manipulations are carried out by arteriotomic access of the proximally occluded ICA, after removing the embologenic masses from the extracranial internal carotid artery at the open stage. Also the medical and therapeutic algorithm of actions is conducted for the differentiated determination of the surgical tactics at ICA occlusions - namely the patients with occlusion of the internal carotid artery are first incurred the open stage surgery (carotid endarterectomy/thrombectomy by the common method), and subsequently the control selective cerebral angiography is performed through the arteriotomic opening of the ICA, pinched using the micro-catheterization to reduce the risk of the embolic complications. When you save the ICA occlusion in the intracranial department the endovascular stage of the occlusion elimination is performed.Способ комбинированного оперативного лечения окклюзии внутренней сонной артерии (ВСА) предусматривает проведение во время хирургического вмешательства открытого этапа на экстракраниальные отделе ВСА (эндартерэктомия, тромбэктомия) и эндоваскулярного этапа на интракраниальном отделе ВСА (эндоваскулярная дезоблитерация, тромбекстракция, баллонная ангиопластика, стентирование). В ходе выполнения способа проводится открытое хирургическое лечение окклюзий ВСА (эндартерэктомия, тромбэктомия), проводитс